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Regardless of the pathology of the wrist-hand-finger complex (rheumatologic, orthopedic, traumatic, peripheral neurological diseases) or the therapy required (surgical or pharmacological), the final aim for the patient is independence in the activities of daily living, and social and professional reintegration. These goals can be reached only with a functional rehabilitation program, with improvement of the quality of life on all levels - physical, functional, psychological, professional and economical. The authors propose a synthesis regarding the approach of the painful dysfunctional syndromes of the wrist-hand-finger complex, organized in therapeutic protocols easy to understand and to use by all specialists involved in this pathology. [ABSTRACT FROM AUTHOR]

The hand can be affected by different diseases (rheumatismal, systemic, tumoral, congenital etc.), but its main function regarding the relationship with the environment and the modern technologised society show that the most frequent pathology of the hand is of traumatical causes. The correct evaluation of the post-traumatic hand is essential for choosing the best therapeutical (medical or surgical strategy) and the proper physical and ergotherapeutical program, which help the patient to regain the ADLs performing and socio-professional life. There is no universal accepted evaluation testing chart, but every Hand Therapy Center creates and uses its own evaluation system of their patients. In this article, the authors propose a complex evaluation of the post-traumatic pathology (operated or not) of the hand, based on the long interdisciplinar team-work between the Plastic Surgery Clinique, Floreasca Emergency Hospital Bucharest and the National Institute of Rehabilitation and Physical Medicine, Bucharest. [ABSTRACT FROM AUTHOR]